Treatment of Left Anterior Descending Artery Aneurysm

Mirsad Kacila; Marco L.S. Matteucci; Stefano Bevilacqua; Nermir Granov; Mattia Glauber

doi:10.17305/bjbms.2006.3113

Authors

Mirsad Kacila Department of Cardiac Surgery – Hospital “G. Pasquinucci”
Marco L.S. Matteucci Department of Cardiac Surgery – Hospital “G. Pasquinucci”
Stefano Bevilacqua Department of Cardiac Surgery – Hospital “G. Pasquinucci”
Nermir Granov Heart Center Sarajevo, University of Sarajevo Clinics Center
Mattia Glauber Department of Cardiac Surgery – Hospital “G. Pasquinucci”

DOI:

https://doi.org/10.17305/bjbms.2006.3113

Keywords:

Coronary aneurysm, off-pump CABG

Abstract

Coronary artery aneurysms (CAAs) are rare and their management is controversial. Their incidence varies from 1,5% to 5% of the coronary angiographies, with predilection of the right coronary artery. Unruptured coronary aneurysms are often silent and may remain undiagnosed. The etiology can be either congenital or acquired. We describe a case of a left anterior descending artery (LAD) aneurysm treated with an off-pump surgical revascularization with a LIMA to LAD without exclusion or ligature of the aneurysm.